Laserfiche WebLink
This application is: <br />NEW AMENDED <br />1. This is an application for ternorary classification of data not on individuals as: <br />p <br />NONPUBLIC PROTECTED NONPUBLIC <br />pursuant to Minnesota Statutes Section 13.06, subdivision 3. (Only one box may be checked. An <br />agency cannot apply for both types of classification on the same form. Separate applications must <br />be prepared when requesting both nonpublic and protected nonpublic temporary classifications.) <br />2. - Name and address of requesting agency: <br />3. This application is for: (Check one) <br />this agency only. <br />all similar agencies. (If applying on behalf of other agencies, you must provide a list <br />identifying all such agencies. Indicate clearly that the agencies listed have agreed to <br />participate in the application and that they agree to be bound by the ruling.) <br />4. Name and title of Responsible Authority making the application: <br />Minnesota Statutes Section 13.06, subdivision 1, states that only the Responsible Authority for an <br />agency or subdivision, as defined in Minnesota Statutes Section 13.02, subdivision 16, can submit <br />this application. <br />5. Describe all data or types of data to be covered by this classification. This description must be as <br />explicit and detailed as possible. Although item -by -item listings of data elements are not required, <br />general terms such as "all personnel records," "all police records," etc., are not acceptable. <br />Where possible, specific file o ' r record titles may be used. You may submit copies of the forms on <br />which the data are collected. <br />As part of your description you may exempt specific items that are public information. <br />�Q <br />